FCS 744 10-2016
AEHC State Officer Nomination Form
In even-numbered years, send this completed form and attachments to Melody Curtis at the state extension office, 2301 S. University Ave. Little Rock, AR 72204 no later than May 15.
I propose for the office of (name of state office):
Name	County
Address
City	State	AR	Zip Code
Phone	Email Address
QUALIFICATIONS
1.	Number of Years in Extension Homemakers
2.	Any nominee eligible for President-Elect must have previously served on the State Board of Directors withing the preceeding five years and have served as a County Council President. Any nominee for other state offices must have previously served as an elected officer of a County Council. Please list elected offices held:
Local Office held	Date
County Office held	Date
State Office held	Date
3.	Please list important committee assignments:
State Committee	Date
State Committee	Date
4.	Has the nominee given her or his consent in writing?	If yes, please attach.
5.	Nominees are required to attend the Annual State Meeting at which the election is held. Nominees will be introduced at the first general session and at the Board of Directors Meeting. They will be notified if they are to speak.
Will this nominee attend this meeting?
6.	Is the nominee free to represent AEHC at meetings other than AEHC meetings?
7.	Is the nominee proficient in parliamentary procedure?
8.	Has the nominee shown leadership in organization and planning?
If so, give examples.
9.	List community activities in which the nominee participates:
Attach a statement giving the nominee's qualifications for the office sought including experiences in leadership roles in EHC and other organizations. This should not exceed one page.
Attach the statement of nominee’s consent (see FCS 745) and endorsement by the appropriate officer of the County Extension Homemakers Council and the County Extension Agent – Family Consumer Sciences.
This form was completed by:
An elected County Extension Homemakers Officer
Address
City	State	AR	Zip Code	County
The University of Arkansas System Division of Agriculture offers all its Extension and Research programs to all eligible persons regardless of race, color, sex, gender identity, sexual orientation, national origin, religion, age, disability, marital or veteran status, genetic information, or any other legally protected status, and is an Affirmative Action/Equal Opportunity Employer.